Organization Active NPI

The Vine Chiropractic LLC

  • Chiropractor
  • Oxford, AL
National Provider Identifier
1578046504
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THE VINE CHIROPRACTIC LLC
Practice address
8 E Choccolocco St
Oxford, AL 36203-1220
Phone
(256) 624-6065
NPI assigned
Sep 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ryan Parrish, DCNPI 1922422823
Title
Owner
Phone
(256) 624-6065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8 E Choccolocco St
Oxford, AL 36203-1220

Mailing address

8 E Choccolocco St
Oxford, AL 36203-1220

Other names 1

  • The Vine Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190610002233 AL Part B Supplier - Clinic/Group Practice 9537492392 Receives reassigned benefits from 1 practitioner
Practice locations: Oxford, AL

National Provider Directory

National Provider Directory

Locations

8 E Choccolocco St
Oxford, AL 36203
Phone (256) 624-6064

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1578046504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E CHOCCOLOCCO ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E CHOCCOLOCCO ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031220",
            "telephone_number": "256-624-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VINE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-624-6065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vine Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.